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用于评估儿科营养不良的原始及沙特改良筛查工具的有效性:一项横断面研究。

The Validity of the Original and the Saudi-Modified Screening Tools for the Assessment of Malnutrition in Pediatrics: A Cross-Sectional Study.

作者信息

Alqahtani Sheikha, Aldubayan Khalid, Alshehri Saleh, Almuhareb Ghada, Mahnashi Amal

机构信息

Department of Community Health Sciences, Collage of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia.

Department of Dietetics, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia.

出版信息

Diagnostics (Basel). 2024 Oct 10;14(20):2256. doi: 10.3390/diagnostics14202256.

Abstract

: Screening for malnutrition among hospitalized children is essential, and the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) is a validated tool for this purpose. The study aimed to modify STAMP for a Saudi context and assess the sensitivity and specificity of both the original and modified tools. : A cross-sectional study was conducted among 307 hospitalized children, where both the original and Saudi-modified STAMP were applied. Anthropometric measurements were also recorded, and statistical analysis using SPSS and validity parameters was used to assess the tools' validity. : The Saudi-modified STAMP identified a higher percentage of children at high risk of malnutrition compared to the original STAMP (91.6% vs. 62.9%). The sensitivity, specificity, positive predictive value, negative predictive value, accuracy, and agreement of the Saudi-modified STAMP compared to the original were 94.3%, 13.2%, 64.8%, 57.7%, 0.654, and 0.089, respectively. : The Saudi-modified STAMP showed excellent sensitivity and varied negative predictive value, indicating its potential effectiveness in screening for the risk of malnutrition among hospitalized children compared to the original STAMP.

摘要

对住院儿童进行营养不良筛查至关重要,儿科营养不良评估筛查工具(STAMP)是用于此目的的经过验证的工具。本研究旨在针对沙特背景对STAMP进行修改,并评估原始工具和修改后工具的敏感性和特异性。:对307名住院儿童进行了一项横断面研究,应用了原始版和沙特版修改后的STAMP。还记录了人体测量数据,并使用SPSS进行统计分析和有效性参数来评估工具的有效性。:与原始STAMP相比,沙特版修改后的STAMP识别出的营养不良高危儿童比例更高(91.6%对62.9%)。与原始版相比,沙特版修改后的STAMP的敏感性、特异性、阳性预测值、阴性预测值、准确性和一致性分别为94.3%、13.2%、64.8%、57.7%、0.654和0.089。:沙特版修改后的STAMP显示出极佳的敏感性和不同的阴性预测值,表明与原始STAMP相比,其在筛查住院儿童营养不良风险方面具有潜在有效性。

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